Regardless of the position of the heart within the chest and the position and origin of the great arteries, aortic and pulmonary valves normally have a single point of contact, with commissural apposition; coronary arteries almost always originate normally from the facing sinuses of Valsalva on either side of this point of commissural contact; coronary arteries do not normally originate from the nonfacing or most distant sinus. Various types of coronary artery anomalies exist, sometime isolated or with more than one abnormal component.
KeywordsCoronary Artery Left Coronary Artery Main Pulmonary Artery Hypoplastic Left Heart Syndrome Left Main Coronary Artery
Unable to display preview. Download preview PDF.
- Culham JAG (1997) Abnormalities of the coronary arteries. In: Freedom RM, Mawson JB, Yoo SJ, Benson LN (eds) Congenital Heart Disease: Textbook of Angiocardiography. Futura Publishing, Armonk NY, pp 849–867Google Scholar
- Goitein O, Lacomis JM (2005) Myocardial bridging: non-invasive diagnosis with multidetector CT.J Comput Assist Tomogr 29:238–240Google Scholar
- Hague C, Andrews G, Forster B (2004) MDCT of a malignant anomalous right coronary artery. Am J Roentgenol 182:617–618Google Scholar
- Khanna A, Torigian DA, Ferrari VA, Bross RJ, Rosen MA (2005) Anomalous origin of the left coronary artery from the pulmonary artery in adulthood on CT and MRI. Am J Roentgenol 185:326–329Google Scholar
- Mesurolle B, Qanadly SD, Mignon F, Lacombe P (2005) Anomalous origin of the left coronary artery arising from the pulmonary trunk. Am J Roentgenol 185: 326–329Google Scholar
- Ropers D, Gehling G, Pohle K, Maeffert R, Regenfus M, Moshage W, Schuster P, Daniel WG, Achenbach S (2002) Images in cardiovascular medicine. Anomalous course of the main or left anterior descending coronary artery originating from the right sinus of Valsalva: identification of four common variations by electron beam tomography. Circulation 106:67CrossRefGoogle Scholar
- Sahn DJ, Vick GW(2001) Review of new techniques in echocardiography and magnetic resonance imaging as applied to patients with congenital heart disease. Heart 86(Suppl II):41–53Google Scholar
- Schmitt R, Froehner S, Brunn J, Wagner M, Brunner H, Cherevatyy O, Gietzen F, Christopoulos G, Kerber S, Fellner F (2005) Congenital anomalies of the coronary arteries: imaging with contrast-enhanced, multidetector computed tomography. Eur Radiol 1110–1121Google Scholar